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Diagnosis of acute pediatric sinusitis must be made on the basis of signs, symptoms, and clinical examination. Laboratory tests may be normal even in complicated sinusitis (Pitkäranta et al. 1999; Hytönen et al. 2000), and radiolog- ical fi ndings do not necessarily correlate with a child’s clinical condition. Pathological fi ndings are frequently found in plain radiographs, CT, and MRI of children with common colds, and also in children without symptoms of a respi- ratory infection (Kronemer and McAlister 1997; American Academy of Pediatrics 2001; Schwartz et al. 2001; Kristo 2002). Nor is ultrasound reli- able (Kronemer and McAlister 1997). Because. | Naana Afua Jumah HMS III Gillian Lieberman MD Complications of Pediatric Sinusitis Naana Afua Jumah HMS III Gillian Lieberman MD 22 January 2007 Naana Afua Jumah HMS III Gillian Lieberman MD Outline 1. Paranasal sinus anatomy 2. Definitions 3. 4. 5. 6. Indications for imaging Imaging modalities Patient presentation Summary Naana Afua Jumah HMS III Gillian Lieberman MD Sinus Anatomy Semilunar hiatus Nasal vestibule Opening of nasolacrimal duct Frontal sinus Openings of posterior ethmoidal sinus Rod from frontal sinus to middle meatus through frontonasal duct Ethmoidal bulla Superior concha Rod passed from sphenoidal sinus to sphenoethmoidal recess Sphenoidal sinus Opening of middle ethmoidal sinus Opening of pharyngotympanic tube Opening of maxillary sinus maxillary ostium Inferior concha cut Essential Clinical Anatomy .
